Pediatric trauma care with computed tomography--criteria for CT scanning.
作者： Markus Muhm , Tim Danko , Thomas Henzler , Thomas Luiz , Hartmut Winkler
DOI: 10.1007/S10140-015-1332-7
关键词:
摘要: Trauma centers, trauma management concepts, as well integration of whole-body computed tomography (CT) reduced mortality significantly. The accuracy a care algorithm with emergency CT in children was evaluated. Data 71 were recorded retrospectively. In addition to epidemiological data admission date, kind scan, mechanism injury, missed diagnoses, injury severity score (ISS), and time on intensive unit (ICU), hospitalization observed. for scanning based pattern altered vital signs. Sixty-nine percent the reached ER during on-call service hours. A percentage 32.4 received scan 67.6 % cranial scan. mean ISS 9.9 points (1–57). Children have different mechanisms compared adults. 33.8 had relevant related findings 2 children, (2.8 %) 3 diagnoses (2.2 initially missed. After reevaluation data, all identified. Thus, our 100 %. detected injuries, but only one third order reduce radiation exposure preserve advantages CT, new developed more flexibility taking child’s age mental status into account clinical findings. itself is not anymore an indication scanning.
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B. Auner, I. Marzi, Polytrauma des Kindes Chirurg. ,vol. 85, pp. 451- 464 ,(2014) , 10.1007/S00104-013-2680-Z
Tina Turgel, Karen Belli, Robert C. Schamberger, Tasmeen Singh, David W. Tuggle, Richard R. Ricketts, Keith R. Gabriel, David G. Jaimovich, Alice D. Ackerman, Susan Tellez, Mervyn Letts, Paul W. Esposito, Loren G. Yamamoto, M. Michele Moss, Kathleen Brown, Bruce L. Klein, Cindy Pellegrini, Ghazala Q. Sharieff, Edward E. Conway, Sherrie M. Hauft, Thomas B. Brazelton, Niccole Alexander, Kurt D. Newman, Aleksandra Stolic, Brad W. Warner, Calvin G. Lowe, Vicki L. Montgomery, Megan E. McCabe, John P. Straumanis, Donald D. Vernon, Barry P. Markovitz, Michael G. Vitale, David D. Aronsson, David P. Roye, Mary J. Lieh-Lai, Kevin P. Lally, Louis C. Hampers, Karen S. Frush, Paul E. Sirbaugh, Milton Tenenbein, Steven E. Krug, John F. Sarwark, Joel A. Fein, Kenneth J. Guidera, Timothy S. Yeh, Sally K. Snow, William L. Hennrikus, Kim Bullock, Patricia J. O'Malley, Webra Price Douglas, Janice M. Romito, Robert M. Insoft, Dan Kavanaugh, Mary Lynn Brandt, Thomas Bojko, Robert E. Sapien, Michael S. Trautman, Management of pediatric trauma ,(1995)
Morteza Bajoghli, Nazila Tayari, Reza Rouzbahani, Farshad Bajoghli, Children, CT Scan and Radiation. International Journal of Preventive Medicine. ,vol. 1, pp. 220- 222 ,(2010)
Blaine L. Enderson, David B. Reath, John Meadors, William Dallas, Jean M. DeBoo, Kimball I. Maull, The Tertiary Trauma Survey: A Prospective Study of Missed Injury Journal of Trauma-injury Infection and Critical Care. ,vol. 30, pp. 666- 670 ,(1989) , 10.1097/00005373-198907000-00031
M. Emet, A. Saritas, H. Acemoglu, S. Aslan, Z. Cakir, Predictors of missed injuries in hospitalized trauma patients in the emergency department European Journal of Trauma and Emergency Surgery. ,vol. 36, pp. 559- 566 ,(2010) , 10.1007/S00068-010-0018-9
Jaap Deunk, Helena M. Dekker, Monique Brink, Raoul van Vugt, Michael J. Edwards, Arie B. van Vugt, The value of indicated computed tomography scan of the chest and abdomen in addition to the conventional radiologic work-up for blunt trauma patients. Journal of Trauma-injury Infection and Critical Care. ,vol. 63, pp. 757- 763 ,(2007) , 10.1097/01.TA.0000235878.42251.8D
Stephen J. Fenton, Kris W. Hansen, Rebecka L. Meyers, Daniel J. Vargo, Keith S. White, Sean D. Firth, Eric R. Scaife, CT scan and the pediatric trauma patient--are we overdoing it? Journal of Pediatric Surgery. ,vol. 39, pp. 1877- 1881 ,(2004) , 10.1016/J.JPEDSURG.2004.08.007
Stefan Huber-Wagner, Peter Biberthaler, Sandra Häberle, Matthias Wierer, Martin Dobritz, Ernst Rummeny, Martijn van Griensven, Karl-Georg Kanz, Rolf Lefering, , Whole-Body CT in Haemodynamically Unstable Severely Injured Patients – A Retrospective, Multicentre Study PLOS ONE. ,vol. 8, ,(2013) , 10.1371/JOURNAL.PONE.0068880
Richard H. Cales, Preventable Trauma Deaths JAMA. ,vol. 254, pp. 1059- 1063 ,(1985) , 10.1001/JAMA.1985.03360080071032
M Mebrahtu-Ghebrehiwet, L Quan, T Andebirhan, The profile of CT scan findings in acute head trauma in Orotta Hospital, Asmara, Eritrea Journal of the Eritrean Medical Association. ,vol. 4, pp. 5- 8 ,(2010) , 10.4314/JEMA.V4I1.52109